Korean J Urol.  2007 Jul;48(7):761-764. 10.4111/kju.2007.48.7.761.

Acquired Male Anterior Urethral Diverticulum with Giant Calculi and Cutaneous Fistula

• Kim TH
• Jeon SH
• Lee HL

• KMID: 1990233
• DOI: http://doi.org/10.4111/kju.2007.48.7.761

Abstract

Urethral diverticulum is a relatively uncommon abnormality for a man. We report here on a case of acquired anterior urethral diverticulum with giant calculi and cutaneous fistula in a 64-years old male patient who had suffered from urethritis 10 years previously. Retrograde urethrography and urethroscopy confirmed the anterior urethral diverticulum with giant calculi, and these procedures ruled out the presence of any associated obstructive urethral anomalies. We performed urethral diverticulectomy, with removal of the calculi, and then we performed urethroplasty.

Keyword

Urethra; Diverticulum; Calculi

MeSH Terms

Calculi*
Cutaneous Fistula*
Diverticulum*
Humans
Male*
Middle Aged
Urethra
Urethritis

Figure

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  Fig. 1. A large stony hard mass was located at the ventral portion of the penile shaft (A). Note the fistulous orifice at the mass lesion of the penile shaft (B).

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  Fig. 2. Retrograde urethrography shows the urethral diverticulum with giant stone and cutaneous fistula. Note the leakage of contrast media through the cutaneous fistula (A). Urethroscopy shows the multiple urethral diverticular ostia at the mid portion of the anterior urethra (B).

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  Fig. 3. The intraoperative findings showa large urethral diverticulum with giant stone (A). The number of extracted stones was approximately one hundred and the sizes were from 0.4x0.3x0.2cm to 7x5x4cm.

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  Fig. 4. Postoperative retrograde urethrography shows minimal leakage of the contrast media at the mid portion of the anterior urethra, and this is the previous urethral diverticulectomy site.

Reference

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